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Contact Information

MUDASSER R JAVED, DPM
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY11733
 Phone: 631-689-6698
 Fax: 631-751-5548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MUDASSER R JAVED · (Male)

NPI # 1205287893
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/25/2016
Last updated 06/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 007021N
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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